Organization
PHYSICIANS LINK CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY CHARLEY ESQ (CHIEF LEGAL OFFICER)
(240) 686-2300
Entity
Organization
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(844) 474-4019
Mailing address
12420 MILESTONE CENTER DR STE 200, GERMANTOWN, MD 20876-7111
(406) 862-3002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214870
ANTHEM OHIO
OH
01
—
029281000
FEDERAL BLACK LUNG PROGRA
OH
01
—
127920900
US DEPT OF LABOR
OH
01
—
127920901
US DEPT OF LABOR
OH
01
—
CK2882
MEDICARE TRAVELERS RR - G
OH
Enumeration date
06/13/2006
Last updated
02/24/2023
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